NPI | 1457569345 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL WATSON - MINGLE Executive Director 931-473-6559 |
Organization Subpart ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: TN L 438-056-3377) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |